Avoidable Deaths in Care Homes

A list of all known avoidable or preventable deaths in care and nursing homes for older people from January 1st 2013 to December 31st 2017, inclusive. Please provide all details known, including:  

names and age of the deceased, 

name and address of the care/nursing home (please specify), 

key dates of incident/death (on some occasions there is a delay before the death),  

copies of all investigatory reports or conclusions held e.g. internal report, Safeguarding Adults Reviews, Regulation 28 Report or Reports to Prevent Future Deaths (PFD reports), formerly known as Rule 43 Reports  

cause of death and,  

reason for believing the death was avoidable (e.g. malnutrition, residents not being given medicine, falls due to assistive equipment not being plugged in etc.) 

If someone’s cause of death in such a setting was unexpected and has been determined, by a coroner for example, as resulting or contributing from a form of harm or neglect, including malnutrition or dehydration, then the relevant local authority Safeguarding Adults Board launches a Safeguarding Adults Review.

Devon County Council does not hold information on avoidable deaths.  Deaths are notified by the care home providers to Care Quality Commission (CQC) and are not categorised as avoidable or otherwise.  We believe hospitals do record  deaths as avoidable although not to a standard definition.

The Hospital Trusts may be able to provide this information therefore we suggest you contact them direct.